DAILY COVERAGE FORM

NAME: ROBERT VERGARA

DATE: NOVEMBER 8, 2023 WEEK: DAY: WEDNESDAY

NAME FREQUENCY HOSPITAL SIGNATURE

ROBERT VERGARA 8:30am to 5:30pm RBGM TK ERROR

Submitted by: Approved by: Frequency Target Actual Performance

3x 30
2x 100
Signature over Printed Name/Date Signature over Printed Name/Date
TOTAL 130

DAILY COVERAGE FORM

NAME: ROBERT VERGARA
DATE: NOVEMBER 8, 2023 WEEK: DAY: WEDNESDAY

NAME FREQUENCY HOSPITAL SIGNATURE

ROBERT VERGARA 8:30am to 5:30pm RBGM TK ERROR

Submitted by: Approved by: Frequency Target Actual Performance

ROBERT VERGARA MONICA SANTILLAN 3x 30
2x 100
Signature over Printed Name/Date Signature over Printed Name/Date
TOTAL 130